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AnesthesiaIVFNCT03814330

A Comparison of Sedation/Analgesia & LMA on Anxiety Level and Patient Satisfaction in In-Vitro Fertilization

A study testing State-Trait Anxiety Inventory, Quality of Recovery Score and Sedation/Analgesia in people with Anesthesia and In-vitro Fertilization, run by Inonu University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In vitro fertilization (IVF) is a new expertise of our age. Anesthesia during the assisted reproduction technique is usually required during oocyte removal, which is one of the basic steps throughout the entire procedure. Read more about this study

Who is it for?
Ages 18 to 55 years, women onlyHealthy volunteers can take part
Conditions the study is for
Anesthesia, In-vitro Fertilization, Analgesia
What is being tested?
State-Trait Anxiety Inventory, Quality of Recovery Score and Sedation/Analgesia
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
140 participants
Where
1 siteTurkey (Türkiye)
Study dates
24 Jan 2019to 21 Jun 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • American Society of Anesthesiology (ASA) scores of I-II
  • Aged 18-55 years old

Who cannot join

  • American Society of Anesthesiology (ASA) scores of III-IV
  • Under 18 years of age
  • Over 55 years of age,
  • Uncontrolled diabetes mellitus, cardiovascular, pulmonary disease, cerebrovascular events,
  • Patients with an allergy to anesthetic drugs
  • Pregnants
  • Patients who refused informed consent

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Sedat Akbas

    Malatya, Türkiye-Türkçe, 44090

Other trials in Turkey (Türkiye)

About this study

Official title: A Comparison of Two Different Anesthetic Application (Sedation / Analgesia & LMA) on Anxiety Level and Patient Satisfaction in Patients With in Vitro Fertilization: Prospective Randomized Clinical Trial

In vitro fertilization (IVF) is a new expertise of our age. Anesthesia during the assisted reproduction technique is usually required during oocyte removal, which is one of the basic steps throughout the entire procedure. Until now, different anesthetic techniques such as conscious sedation, general anesthesia and regional anesthesia have been tried, no superiority has been proved against each other. The main point of anesthesia management in IVF is to minimize anesthesia exposure to avoid harmful effects on embryo division and fertilization.

The aim of this prospective randomized clinical trial was to compare two different anesthesia applications (sedation \& laryngeal mask airway) on anxiety and patient satisfaction in patients with IVF.

Read the detailed description

In vitro fertilization (IVF) is a new expertise of our age. Anesthesia during the assisted reproduction technique is usually required during oocyte removal, which is one of the basic steps throughout the entire procedure. Until now, different anesthetic techniques such as conscious sedation, general anesthesia and regional anesthesia have been tried, no superiority has been proved against each other. The main point of anesthesia management in IVF is to minimize anesthesia exposure to avoid harmful effects on embryo division and fertilization.

IVF requires the collection of mature oocytes from the ovaries of infertile patients. These oocytes are then fertilized in vitro and allowed to become embryos. Afterwards, these embryos are transferred into the uterus of the patients. Ultrasonography-guided transvaginal aspiration makes oocyte intake less invasive compared to prior techniques and can be administered within 30 minutes. With the development of this method, trauma was minimalized and side effects were reduced. However, the possible effects of different anesthetics on oocytes are still being discussed. The potential side effects of different anesthesia applications have been observed not only in patients receiving oocytes, but also in embryo development and pregnancy success due to the quality of oocytes. The pain of patients is common after the puncture of the vaginal fornix. It is usually defined as deep menstrual pain, quickly disappears and leaves a mild abdominal pain. Therefore, the anesthetist should perform adequate pain relief to immobilize the patient to avoid the risk of perforating the vessels during the procedure. Another challenge for the anesthesiologist is to alleviate the increased anxiety associated with social and psychological stress associated with IVF.

Anxiety may develop before and after the procedure, especially in patients undergoing oocyte collection. The patient's anxiety is usually present before entering the operating room. The assessment, which was started to be developped by investigators, was aimed to measure state anxiety levels in normal and non-normal individuals. State-Trait Anxiety Inventory measures state anxiety levels and is an easy-to-implement inventory that the individual can answer on his/her own. The State Anxiety Scale determines how the individual feels himself / herself at a given moment and under certain conditions. It is widely used in preoperative anxiety measurement.

Patient satisfaction depends on the patient's expectations and the benefits expected by the patients with the service they receive. Patient satisfaction is the result of meeting the wishes and expectations of the patients. An investigator has developed the Recovery Quality Score-40 (Quality of Recovery Score) and is used to measure the quality of postoperative recovery. This form consists 40 items and is divided into 5 subgroups according to various aspects of the improvement. There are a total of 40 items, 9 related to emotional state, 12 related to physical comfort, 7 related to psychological support, 5 related to physical independence and 7 items related to pain. The questionnaire is scored as a minimum of 40 to a maximum of 200. No special training is required for the implementation of the survey. The fact that the patient can perform the survey on his own and can be done in a short time gives a significant advantage.

The aim of this prospective randomized clinical trial was to compare two different anesthesia applications (sedation \& laryngeal mask airway) on anxiety and patient satisfaction in patients with IVF.

Being tested
State-Trait Anxiety Inventory, Quality of Recovery Score, Sedation/Analgesia, Laryngeal Mask Airway
Keywords
Anesthesia management, In-vitro Fertilization, Sedation-Analgesia
Medical subject headings
Agnosia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • State-Trait Anxiety InventoryDiagnostic test

    State-Trait Anxiety Inventory measures state anxiety levels and is an easy-to-implement inventory that the individual can answer on his/her own. State-Trait Anxiety Inventory determines how the individual feels himself / herself at a given moment and under certain conditions. It is widely used in preoperative anxiety measurement

  • Quality of Recovery ScoreDiagnostic test

    Also called Recovery Quality Score-40

    Recovery Quality Score-40 (Quality of Recovery Score) and is used to measure the quality of postoperative recovery. This form consists 40 items and is divided into 5 subgroups according to various aspects of the improvement. There are a total of 40 items, 9 related to emotional state, 12 related to physical comfort, 7 related to psychological support, 5 related to physical independence and 7 items related to pain. The questionnaire is scored as a minimum of 40 to a maximum of 200.

  • Sedation/AnalgesiaOther

    Patients will be performed the procedure with sedation/analgesia under the condition of spontaneous breathing.

  • Laryngeal Mask AirwayDevice

    Patients will be performed the procedure with Laryngeal Mask Airway during the procedure. Laryngeal Mask Airway is a supraglottic airway device to ventilate the patients during anesthetic procedure.

Study groups in NCT03814330
Study groupRoleWhat they receive
Sedation/AnalgesiaPlacebo comparatorPatients with applied sedation analgesia will perform State-Trait Anxiety Inventory and Quality of Recovery Score
Receives: Diagnostic Test: State-Trait Anxiety Inventory; Diagnostic Test: Quality of Recovery Score; Other: Sedation/Analgesia
Laryngeal Mask AirwayActive comparatorPatients with applied Laryngeal Mask Airway will perform State-Trait Anxiety Inventory and Quality of Recovery Score
Receives: Diagnostic Test: State-Trait Anxiety Inventory; Diagnostic Test: Quality of Recovery Score; Device: Laryngeal Mask Airway

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. State-Trait Anxiety Inventory

    State-Trait Anxiety Inventory measures state anxiety levels and is an easy-to-implement inventory that the individual can answer on his/her own. The State Anxiety Scale determines how the individual feels himself / herself at a given moment and under certain conditions. It is widely used in preoperative anxiety measurement. State-Trait Anxiety Inventory has 40 items, 20 items allocated to each of the State Anxiety and Trait Anxiety subscales. Responses for the State Anxiety scale assess intensity of current feelings "at this moment": 1) not at all, 2) somewhat, 3) moderately so, and 4) very much so. Responses for the Trait Anxiety scale assess frequency of feelings "in general": 1) almost never, 2) sometimes, 3) often, and 4) almost always. Range of scores for each subtest is 20-80, the higher score indicating greater anxiety. A cut point of 39-40 has been suggested to detect clinically significant symptoms.

    Measured: State-Trait Anxiety Inventory will be performed to the all patients 2 hours before the IVF procedure.

  2. State-Trait Anxiety Inventory

    State-Trait Anxiety Inventory measures state anxiety levels and is an easy-to-implement inventory that the individual can answer on his/her own. The State Anxiety Scale determines how the individual feels himself / herself at a given moment and under certain conditions. It is widely used in preoperative anxiety measurement. State-Trait Anxiety Inventory has 40 items, 20 items allocated to each of the State Anxiety and Trait Anxiety subscales. Responses for the State Anxiety scale assess intensity of current feelings "at this moment": 1) not at all, 2) somewhat, 3) moderately so, and 4) very much so. Responses for the Trait Anxiety scale assess frequency of feelings "in general": 1) almost never, 2) sometimes, 3) often, and 4) almost always. Range of scores for each subtest is 20-80, the higher score indicating greater anxiety. A cut point of 39-40 has been suggested to detect clinically significant symptoms.

    Measured: State-Trait Anxiety Inventory will be performed to the all patients 4 hours after the IVF procedure.

  3. Quality of Recovery Score

    Quality of Recovery Score is a global measure of quality of recovery. It incorporates five dimensions of health: patient support, comfort, emotions, physical independence, and pain; each item is graded on a five-point Likert scale. Quality of Recovery Scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery). This consists 40 items and is divided into 5 subgroups according to various aspects of the improvement. There are a total of 40 items, 9 related to emotional state, 12 related to physical comfort, 7 related to psychological support, 5 related to physical independence and 7 items related to pain. The questionnaire is scored as a minimum of 40 to a maximum of 200.

    Measured: Quality of Recovery Score will be performed to the all patients 24 hours after the IVF procedure

Secondary outcomes (3)
  1. Heart rate

    Heart rate is measured as beats/minute on the anesthesia monitor

    Measured: From beginning of Anesthesia induction to the end of anesthesia (during perioperative period)

  2. Mean arterial pressure

    Mean arterial pressure is measured as mmHg on the anesthesia monitor

    Measured: From beginning of Anesthesia induction to the end of anesthesia (during perioperative period)

  3. Peripheral oxygen saturation

    Peripheral oxygen saturation is measured as percentage (%) on the anesthesia monitor

    Measured: From beginning of Anesthesia induction to the end of anesthesia (during perioperative period)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2019
  2. Study start24 Jan 2019
  3. Primary completion21 May 2019
  4. Study completion21 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective Randomized Clinical Trial
Masking
Single blind
Who is masked
Participant
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03814330
Sponsor's protocol ID
sedatakbas5
Acronym
IVF
Status last verified
Aug 2019
First submitted
4 Jan 2019
Last updated
19 Aug 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Piroli A, Marci R, Marinangeli F, Paladini A, Di Emidio G, Giovanni Artini P, Caserta D, Tatone C. Comparison of different anaesthetic methodologies for sedation during in vitro fertilization procedures: effects on patient physiology and oocyte competence. Gynecol Endocrinol. 2012 Oct;28(10):796-9. doi: 10.3109/09513590.2012.664193. Epub 2012 Mar 16.

    PubMed 22420562

Questions about this trial

What is this clinical trial studying?

A study testing State-Trait Anxiety Inventory, Quality of Recovery Score and Sedation/Analgesia in people with Anesthesia and In-vitro Fertilization, run by Inonu University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

State-Trait Anxiety Inventory (time frame: State-Trait Anxiety Inventory will be performed to the all patients 2 hours before the IVF procedure.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03814330, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2019.

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